Sr Executive

Niva Bupa; Dadri, Mumbai; On-site; INR 400,000 - 650,000; Full time

Job summary

Niva Bupa is seeking a healthcare operations professional to streamline hospital claim facilitation for admitted patients. You will work to optimize cost management and ensure a hassle-free admission and discharge process while coordinating with TPAs, insurers, and providers to speed up claim approvals.

The role emphasizes patient experience, trust-building, and efficient hospital billing and documentation. Candidates should have hospital operations exposure and strong communication skills.

Qualifications

• Graduate or higher in a relevant field with exposure to hospital operations.
• Demonstrated understanding of health insurance, TPAs, and hospital billing.
• Strong communication, follow-up, and relationship-building skills.

Responsibilities

• Facilitate seamless hospital admission and discharge processes for patients.
• Coordinate with TPAs, insurers, and providers to ensure smooth claims flow.
• Improve pre-authorization and discharge timelines while managing costs.
• Enhance documentation quality and governance around claims handling.
• Strengthen relations with hospital networks and internal stakeholders.
• Minimize claim escalations and improve overall customer experience.

Skills

Hospital operations

Health insurance knowledge

TPA & insurer liaison

Communication skills

Sales orientation

Education

Graduate

Masters or Diploma in Healthcare Administration

Job description

Job Summary:

The person would be responsible for seamless insurance claim facilitation for hospitalized patients while ensuring effective cost management as well.

The role focuses on enhancing customer experience, enabling hassle free admission and discharge, coordinating with TPAs, insurer, providers and optimizing treatment and packages, faster claim approvals and reduce query rates.

Key Responsibilities:

• 1. Customer Experience: Hand Hold Patient during Hospital Journey
• 2. Customer: Improve trust and reduce anxiety through facilitation
• 3. Reduce Insured Escalations
• 4. Speed: Improve Pre-auth and Discharge TAT
• 5. Governance: Improve documentation Quality
• 6. Provider Engagement: Strengthen PPN/NPPN relationships

Key Requirements

Education Certificates

• Graduate
• Masters or Diploma in Healthcare administration
• 2-4 years Experience of working in Hospital operations or TPA/ Insurance.

Key Requirements -

Experience Skills (Must have)

• 1. Strong understanding of Hospitals operations, health insurance, TPAs and hospital billing
• 2. Ability to build trust and customer relationships
• 3. Excellent communication and follow up skills
• 4. Sales orientation with customer engagement skills
• 5. Analytical mindset and long-term relationships.

Disclaimer: This job posting and Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.